Active NPI
Kerrilene Joy Herder, RN
- Registered Nurse
- Kayenta, AZ
National Provider Identifier
1902204068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-202238
- Practice address
- Highway 163 Bldgka-2010
Kayenta, AZ 86033 - Phone
- (928) 697-4000
- NPI assigned
- Dec 5, 2014
- Last updated
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-202238 | AZ | Primary |
Addresses
Primary practice location
Highway 163 Bldgka-2010
Kayenta, AZ 86033
Mailing address
Hwy 160 M.P. 394.3
Kayenta, AZ 86033-1186
Phone (928) 697-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-202238 | AZ | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1902204068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HWY 160 M.P. 394.3",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "860331186",
"telephone_number": "928-697-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 163 BLDGKA-2010",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "86033",
"telephone_number": "928-697-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERDER",
"first_name": "KERRILENE",
"middle_name": "JOY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-05",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN-202238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kayenta, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.